Young males represent one of the populations with the steepest increases in the incidence of obesity.
They are also prone to significant derangements in sexual health and fertility. Despite a growing number of reports about female reproductive health, in the setting of bariatric surgery, males have received much less attention. In the current review of reproductive abnormalities in severe obese males before and after bariatric surgery, erectile function, hypothalamic-pituitary-gonadal axis status, sex hormones, semen quality, fertility and assisted reproductive techniques, along with analysis of adipokines, gut hormones, and environmental factors are addressed. Available evidence about weight loss benefits, both medical and surgical, are highlighted, along with perspectives for future investigations, which may be relevant for the patient, for the couple, and for the community alike.
Rosenblatt A, Faintuch J, Cecconello I. Are you the author?
Department of Gastroenterology, Hospital das Clinicas, ICHC, 9th Floor, Room 9077, Av. Eneias C. Aguiar 255, São Paulo, SP, Brazil.
Reference: Obes Surg. 2015 Apr 19. Epub ahead of print.